ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery - Executive summary
ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery - Executive summary
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DOI：
10.1016/s0735-1097(01)01788-0
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发表时间：
2002-02-06
影响因子：
24
通讯作者：
Smith, SC
中科院分区：
文献类型：
--
作者：
Eagle, KA;Berger, PB;Smith, SC
这些指南是对1996年出版的指南的更新，适用于参与非心脏手术患者术前、术中和术后护理的医生。他们提供了一个框架，考虑心脏风险的非心脏手术在各种病人和手术情况。这些指南的首要主题是，术前干预很少是必要的，只是为了降低手术的风险，除非这种干预是指无论术前的背景。术前评估的目的不是简单地给予医疗许可，而是对患者当前的医疗状况进行评估;就整个围手术期的心脏问题的评估、管理和风险提出建议;并提供患者、主治医师、麻醉师并且外科医生可以用于做出可能影响短期和长期心脏结果的治疗决定。咨询的目标是确定最合适的检测和治疗策略，以优化患者的护理，提供短期和长期心脏风险的评估，并避免在这个成本控制的时代进行不必要的检测。
These guidelines represent an update of those published in 1996 and are intended for physicians who are involved in the preoperative, operative, and postoperative care of patients undergoing noncardiac surgery. They provide a framework for considering cardiac risk of noncardiac surgery in a variety of patient and surgical situations. The overriding theme of these guidelines is that preoperative intervention is rarely necessary simply to lower the risk of surgery unless such intervention is indicated irrespective of the preoperative context. The purpose of preoperative evaluation is not simply to give medical clearance but rather to perform an evaluation of the patient’s current medical status; make recommendations concerning the evaluation, management, and risk of cardiac problems over the entire perioperative period; and provide a clinical risk profile that the patient, primary physician, anesthesiologist, and surgeon can use in making treatment decisions that may influence short-and long-term cardiac outcomes. The goal of the consultation is to identify the most appropriate testing and treatment strategies to optimize care of the patient, provide assessment of both short-and long-term cardiac risk, and avoid unnecessary testing in this era of cost containment.